Village of Eagle Nest
NPI #1063531341 in Eagle Nest, New Mexico
Provider Information
- NPI Number
- 1063531341
- Entity Type
- Organization
- Organization Name
- Village of Eagle Nest
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE VILLAGE OF EAGLE NEST
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Sep 17, 2010
Practice Location
- Address
- 74 TOMBOY DR.
- City
- Eagle Nest
- State
- New Mexico
- ZIP Code
- 87718
- Phone
- (505) 377-0663
Authorized Official
- Name
- MR. WAYNE BAKER
- Title
- BILLING AGENT
- Phone
- (505) 376-2939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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